| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
800 |
628 |
$633K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
915 |
711 |
$172K |
| 92134 |
|
1,485 |
1,284 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
702 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
165 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
355 |
$4K |
| 83861 |
|
285 |
182 |
$2K |
| 92015 |
Determination of refractive state |
150 |
150 |
$2K |
| 92133 |
|
92 |
92 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 92083 |
|
78 |
77 |
$1K |
| 83516 |
|
261 |
165 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26 |
26 |
$491.92 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$319.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$295.40 |